Tiffany Blassingame, LPC

Individual provider Active NPI Professional Counselor · Paris, TX

NPI 1093006454 · NPPES record last updated Apr 20, 2011

Key facts

NPI
1093006454
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
Practice address
737 Lamar Ave
Paris, TX 75460-4479
Phone
(903) 785-0400
Fax
(903) 785-0403
NPI assigned
Apr 20, 2011
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X TX Yes

Addresses

Primary practice location

737 Lamar Ave
Paris, TX 75460-4479

Mailing address

737 Lamar Avenue
Paris, TX 75460
Phone (903) 785-0400

Other providers in Paris, TX

All providers in Paris, TX · Professional Counselor in Texas

Sources for this page

Verify at the official NPI Registry.